Carly Brynn Grezlik, MA., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

14043456 Issued in IL

Practice address

2377 Autumn Creek Blvd
Yorkville, IL 60560-3071

Phone

(630) 553-4048

NPI assigned

Dec 14, 2017

Last updated

Dec 14, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1513209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513209600000",
    "number": "1881109700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2377 AUTUMN CREEK BLVD",
            "city": "YORKVILLE",
            "state": "IL",
            "postal_code": "605603071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2377 AUTUMN CREEK BLVD",
            "city": "YORKVILLE",
            "state": "IL",
            "postal_code": "605603071",
            "telephone_number": "630-553-4048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREZLIK",
        "first_name": "CARLY",
        "middle_name": "BRYNN",
        "credential": "MA., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-14",
        "last_updated": "2017-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "14043456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric John Grahn, P.T.
• Jonathan Hunter Gramme
• Kayla Lrae Grayson
• Jacqueline Ann Greenwald, RPH
• Dilpreet Kaur Grewal, DDS
• Joseph W Gruber III, DDS
• Dmitriy Igorevich Gubarev, NP
• Monisha Krishnamma Gudavalli
• Dinh Que Ha
• Ethan H Hagen, D.C.

• Speech-Language Pathologist in Yorkville, IL
• Providers in Yorkville, IL by specialty
• Speech-Language Pathologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.